How to Use the Check Off Form

The following form can be viewed and printed with Adobe Acrobat. Please note that these forms are copyrighted, and are for your personal use only.

Following is an example of how to use the check off form. This example is from The DASH Diet Weight Loss Solution, phase 1. At the bottom of the page, enter your target number of servings of each food group. Then check off the servings as you have them each day. That may help you with your planning and for evaluating how you are doing with the plan. The target for nonstarchy vegetables is one that you want to meet or exceed.


Check off form pdf